Organization Active NPI

Castle Palliative Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1093385205
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CASTLE PALLIATIVE CARE LLC
Practice address
15022 FM 529 Rd BLDG 2
Houston, TX 77095-3248
Phone
(832) 231-1679
Fax
(281) 990-6716
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aloysius Agbonye
Title
Administrator
Phone
(832) 231-1679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

15022 FM 529 Rd BLDG 2
Houston, TX 77095-3248

Mailing address

15022 FM 529 Rd BLDG 2
Houston, TX 77095-3248
Phone (322) 311-6798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210831003878 TX Part A Provider - Hospice 7012313901 Practice locations: Houston, TX

Hospice certification: CCN 971716

Legal name
CASTLE PALLIATIVE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 21, 2021
Last certification
Oct 21, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 22, 2021 in TX
Enrollment address
15022 FM 529 Road BLG 2
Suite 2B
Houston, TX 77095-3248

Care Compare: Hospice

Medicare Care Compare
Listed as
Castle Palliative Care LLCCCN 971716
Ownership
For-Profit
Certified
Oct 21, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8700 Commerce Park Dr
Ste 208
Houston, TX 77036
Phone (346) 202-7827

15022 FM 529 Rd
Ste 2B
Houston, TX 77095
Phone (832) 231-1679

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chinazo S Ofoefule Individual 5% Or Greater Direct Ownership Interest Nov 1, 2022 100%
W-2 Managing EmployeeOwner Nov 1, 2022 100%
Remy W Zockazock Individual Contracted Managing EmployeeMD; Nov 5, 2024
Aloysius Agbonye Individual W-2 Managing EmployeeAdministrator Nov 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1093385205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15022 FM 529 RD BLDG 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953248",
            "telephone_number": "322-311-6798",
            "fax_number": "281-990-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15022 FM 529 RD BLDG 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953248",
            "telephone_number": "832-231-1679",
            "fax_number": "281-990-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "AGBONYE",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-231-1679"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.